Reconstruction after extirpation of sacral malignancies

Jose Diaz, W. Scott McDonald, Milton Armstrong, Frank Eismont, Michael Hellinger, Seth Thaller

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Defects after extirpation of either sacral or rectal tumors often present a reconstructive challenge to plastics surgeons. Because of their relative infrequency, management guidelines, in the authors' opinion, have been overlooked. They think that success-ful, comprehensive treatment lends itself to an integrated team approach. They review their experience with immediate recon-struction after total sacrectomy for sacral malignancies performed between 1996 and 2001. Medical records were reviewed retro-spectively for the surgical procedure, postoperative complica-tions, and eventual outcome. A total of 9 patients underwent sacrectomy with a gluteus maximus flap for reconstruction. Six patients had a simultaneous omental flap for complete oblitera-tion of the surgical defect. The authors' experience suggests that this combination of techniques is a reliable approach for recon-struction of these extensive surgical defects.

Original languageEnglish (US)
Pages (from-to)126-129
Number of pages4
JournalAnnals of plastic surgery
Volume51
Issue number2
DOIs
StatePublished - Aug 1 2003
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

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